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General NPI Number Information
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NPI Number | 1639110638
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Entity Type | Individual
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Provider Name | MELVIN G PERRY JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 3672 MARATHON CIR STE 140
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City | AUSTELL
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State | GA
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Zip | 30106-6821
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Country | US
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Telephone | 470-502-0202
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Fax | 470-582-9386
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Provider Business Mailing Address
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Address Line | PO BOX 1339
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City | MABLETON
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State | GA
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Zip | 30126-1005
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Country | US
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Telephone | 470-502-0202
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Fax | 470-582-9386
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 022738
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 49276-020
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | M9577
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | O4-30600
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 046470
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 022738
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License Number State | LA
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Taxonomy #7
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 2004025527
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License Number State | MO
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Taxonomy #8
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 40058
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License Number State | TN
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Taxonomy #9
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 435456
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License Number State | PA
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Taxonomy #10
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 35.083485
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License Number State | OH
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Taxonomy #11
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 01057110A
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License Number State | IN
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Taxonomy #12
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 46470
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License Number State | GA
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